Active NPIIndividual provider

Melissa Jacobo, LICSW, MAT

Social Worker, Clinical in Charlestown, Massachusetts

NPI Number1700017779
Practice location
73 High St Fl 3, Charlestown, MA 02129-3026
Fax
617-726-3514
Last updated
August 7, 2009

Melissa Jacobo is a Social Worker, Clinical based in Charlestown, MA. Melissa Jacobo practices in Charlestown, MA and has the professional credentials of LICSW, MAT. The NPI Number for Melissa Jacobo is 1700017779 and holds a License No. 114918 (MA). The current practice location address for Melissa Jacobo is 73 High St Fl 3, Charlestown, MA 02129-3026 and can be reached out via phone at 617-724-8234 and via fax at 617-726-3514.

Provider Profile Details

NPI Number
1700017779
Provider Name
Melissa Jacobo
Credential
LICSW, MAT
Provider Entity Type
Individual
Gender
Female
Address
73 High St Fl 3, Charlestown, MA 02129-3026
Phone Number
617-724-8234
Fax Number
617-726-3514
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 7, 2009
Last Update Date
August 7, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
73 High St Fl 3
Charlestown, MA 02129-3026
Zip
02129-3026
Phone Number
617-724-8234
Fax Number
617-726-3514
Charlestown, MA 02129Get directions →

Provider Business Mailing Address Details

Address
73 High St Fl 3
Charlestown, MA 02129-3026
City
Charlestown
State
MA
Zip
02129-3026
Phone Number
617-724-8234
Fax Number
617-726-3514

License Information

License Number
114918
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Melissa Jacobo, LICSW, MAT?

The NPI number of Melissa Jacobo, LICSW, MAT is 1700017779. It was assigned on August 7, 2009 and is currently active in the NPPES registry.

What is the specialty of Melissa Jacobo, LICSW, MAT?

Melissa Jacobo, LICSW, MAT is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114918.

Where does Melissa Jacobo, LICSW, MAT practice?

The practice location is 73 High St Fl 3, Charlestown, MA 02129-3026. The office can be reached at 617-724-8234 (phone) or 617-726-3514 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700017779 directly on the NPPES registry website.

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